cash flow funding, mortgage notes, mortgage paper,cash flow financing, owner financing, auto notes, auto paper, mortgages,buying and selling notes, mobile home notes, mobile home paper,free  cash flow downloads,seller financed mortgages,factoring invoices auto notes,owner financed business notes,medical accounts receivableFactoring My Invoices and Accounts  Receivable
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Thank for your interest in factoring your invoices through our company. You may complete this form online for more information or click on the "Download Forms" button to the left and download the factoring form and Email it to DCFF@411-Cashflow.com All information will be kept in the strictest of confidence.

Bold fields are required:
Email:
Company Name

 

Legal Name

 

Federal Tax ID#

 

Contact Name

 

Company Address

 

Mailing Address

 

Phone

 

Fax Number

 

Business Type

 

Business Structure

 

State / Date Formed

 

Liens on Invoices?

 

Terms of Sale

 

Number of Customers

 

Number of Invoices

 

Average Invoices Amt

 

Last Year Sales

 

Projected Sales

 

Bonded

 

Payroll Taxes Current?

 

Federal / State Taxes

 

Intent to Levy?

 

Judgments / Liens / Lawsuits

 

Loans Yes or No

 

Factored Before?

 

Financing Needed

 

Additional Comments

 

List Current / Future Customers

 

Company Principals / Officers

 

The foregoing statements and information  given above is true and correct to the best of my / our knowledge and is given to Diversified CashFlow Funding to induce funding source(s) to consider entering into a factoring agreement with the above company. I / we grant the Funding Source(s) of Diversified Cashflow Funding to verify and investigate all of the above statements and to review my / our credit report(s).  The information submitted does not exclude any information relevant to the financial condition of this company / principal owner.

I am an authorized agent of this company.

 

   
    

 

 


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